重庆医学2016，Vol.45Issue(20)：2810-2813,4.DOI:10.3969/j.issn.1671-8348.2016.20.024
外出务工慢性乙型肝炎患者管理现状及对策研究
Management status quo of migrant workers with chronic hepatitis B and countermeasures research
摘要
Abstract
Objective To understand the management status quo of migrant workers with chronic hepatitis B (CHB) to ex‐plore the management countermeasures and improve the survival quality for tamping the foundation of the healthy project .Methods Totally 300 migrant workers with CHB were performed the living quality evaluation and investigation on the service needs ,com‐pliance ,economic condition ,categories and proportion of reimbursement by adopting the supplementary revision of SF‐36 living quality scale and general information questionnaire ;the influencing factors of their living quality were performed the univariate anal‐ysis and multivariate stepwise regression analysis .Results The statistical analysis found that whether convenient for outside visit‐ing hospital ,categories and proportion of reimbursement ,whether normalized antiviral therapy ,whether conducting examination and follow up at regular intervals and liver disease specific symptoms were the influencing factors of living quality in the migrant work‐ers with CHB(P<0 .05);the living quality in the patients with outside convenient visiting hospital ,high reimbursement proportion , normalized antiviral therapy and examination and follow up at regular intervals was significantly higher than that in the patients with inconvenient outside visiting hospital ,low reimbursement proportion ,non‐normalized anti‐viral therapy and examination and follow up without regular intervals(P<0 .05);the liver disease specific symptom score showed the positive correlation trend with the living quality score (B=7 .657 ,SD=2 .650 ,t=2 .889 ,P=0 .004) .Conclusion It is necessary to improve the patient′s medical needs ,reimbursement type and proportion ,increase the compliance of patient′s normalized examination and follow‐up at regular in‐tervals and standard antiviral treatment ,thus to realize the standardized examination and treatment in CHB patients ,prevent or de‐lay the disease progression ,avoid liver cirrhosis and decompensated hepatopathy ,reduce the occurrence of HCC ,improve the quality of life and prolong the survival period .关键词
肝炎 ,乙型 ,慢性/外出务工/生存质量/服务需求/依从性Key words
hepatitis B ,chronic/migrant work/living quality/service need/compliance分类
医药卫生引用本文复制引用
贺世春,王东霞,巫贵成,陈永琴,严莉,肖仁梅..外出务工慢性乙型肝炎患者管理现状及对策研究[J].重庆医学,2016,45(20):2810-2813,4.基金项目
重庆市卫计委医学科研计划项目（2013-2-166）。 （）
